prospective surveillance of febrile illness for dengue-endemic areas in asia

Conditions: Dengue Fever; Fever

Summary: the purpose of this study is to detect acute febrile episodes and dengue infection in five asian countries, to assess dengue seroprevalence, and to assess surveillance infrastructure at investigational sites in anticipation of a phase 3 efficacy trial of a vaccine to prevent dengue infection. the primary objectives are: * to identify acute febrile episodes among the cohort in order to detect the presence of dengue infection. * to develop operational infrastructure for potential phase iii dengue efficacy trial sites. * to describe the dengue seroprevalence among the cohort at baseline and at the end of the study.

all participants will make two visits to a study site, an enrollment visit and a termination visit. additional visits will be made if febrile episodes occur: an acute visit and a convalescent visit. participants or their parents/guardians will be contacted weekly to monitor the occurrence of febrile episodes and ensure appropriate assessment and care. no vaccine will be provided or administered in this study.

Eligibility criteria:
inclusion criteria : * aged 2 to 14 years on the day of inclusion and resident of the site zone * subject in good health, based on medical history and physical examination * assent form has been signed and dated by the subject (if required by local regulations), and informed consent form has been signed and dated by the parent(s) or another legally acceptable representative (and by the subject and/or an independent witness if required by local regulations) * subject able to attend all scheduled visits and to comply with all study procedures * for a female of childbearing potential, use of an effective method of contraception or abstinence for at least 4 weeks prior to enrollment. exclusion criteria : * known pregnancy at the enrollment visit * participation in another clinical trial investigating a vaccine, drug, medical device, or a medical procedure in the 4 weeks preceding enrollment * planned participation in another clinical trial during the present study period * known or suspected congenital or acquired immunodeficiency; or receipt of immunosuppressive therapy such as anti-cancer chemotherapy or radiation therapy within the preceding 6 months; or long-term systemic corticosteroids therapy (prednisone or equivalent for more than 2 consecutive weeks within the past 3 months) * self-reported seropositivity for human immunodeficiency virus (hiv) infection * chronic illness that, in the opinion of the investigator, is at a stage where it might interfere with study conduct or completion * current alcohol abuse or drug addiction that may interfere with the subject's ability to comply with study procedures * receipt of blood or blood-derived products in the past 3 months * receipt of any vaccine in the 4 weeks preceding the day of enrollment except for pandemic influenza vaccination, which may be received at least 2 weeks before enrollment * planned receipt of any vaccine in the 4 weeks following enrollment * deprived of freedom by administrative or court order, or in an emergency setting, or hospitalized involuntarily * identified as employees of the investigator or study center, with direct involvement in the proposed study or other studies under the direction of that investigator or study center, as well as family members (i.e., immediate, husband, wife and their children, adopted or natural) of the employees or the investigator. temporary contraindications a prospective subject should not be included in the study until the following condition and/or symptoms are resolved: * febrile illness (temperature ≥ 38.0°c) or moderate or severe acute illness/infection (according to investigator judgment) on the day of enrollment.

Keywords: dengue fever fever dengue infection